Recurrent unilateral peripheral facial palsy in a patient with an enlarged styloid process
Dominik Péus1,2, Spyros S Kollias3, Alexander M Huber1
1Department of Otorhinolaryngology, Head and Neck Surgery, University of Zurich, Zurich, Switzerland.
Background:
Recurrent peripheral facial paresis is a rare symptom that may be caused by multiple pathologic conditions.
Methods:
We report a case of recurrent peripheral facial palsies caused by an ipsilateral enlarged styloid process. A surgical excision of the process was performed.
Results:
The treatment was well tolerated. Postoperatively, no further recurrent paresis was observed.
Conclusion:
To the best of our knowledge, this is the first case study of an enlarged styloid process with facial paresis. A detailed workup, including imaging, should be performed in cases with recurrent facial paresis and/or cases with a history of trauma and facial paresis and, of course, to exclude a neoplastic etiology.
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